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Clinical-Medical Image - International Journal of Clinical & Medical Images (2024) Volume 11, Issue 2
Author(s): Faraz Ahmad* and Shiva Rajan
Department of General Surgery, King George’s Medical University, Lucknow, Uttar Pradesh, India
Received: 01 February 2024, Manuscript No. ijcmi-24-127073; Editor assigned: 03 February 2024, Pre QC No. P-127073; Reviewed: 15 February 2024, QC No. Q-127073; Revised: 21 February 2024, Manuscript No. R-127073; Published: 29 February 2024, DOI:10.4172/2376-0249.1000943
Citation: Ahmad F and Shiva R. (2024) Intriguing Journey: Foley Catheter’s Intra-colonic Migration. Int J Clin Med Imaging 11: 943.
Copyright: © 2024 Ahmad F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Enteral feeding catheters play a pivotal role in providing nutritional support and can be associated with life-threatening complications. A male in his 20’s presented with abdominal pain and was diagnosed with perforation peritonitis. An emergency laparotomy was done, and a jejunal perforation approximately 3 feet distal to Duodeno Jejunal (DJ) flexure was found. A double barrel jejunostomy was done in view of the massive peritoneal contamination and poor nutritional status of the patient. A Foley’s catheter was inserted in the distal limb of the stoma for refeeding and nutritional buildup purpose. The patient presented with accidental migration of the feeding catheter inside the lumen without any features of obstruction. Abdominal radiograph showed the mechanical spring coil of Foley’s catheter in the right lower quadrant of the abdomen (Figure 1a); ultrasonography showed the bulb of the catheter in the distal small bowel. As there were no symptoms of obstruction, the patient was observed closely for spontaneous passage; a percutaneous trans-colonic rupture of Foley’s bulb was done after 48 hours of observation. After failure of spontaneous passage, a colonoscopy was done, which showed a catheter in the ascending colon (Figure 1b and Figure 1c), which was retrieved by colonoscopy (Figure 1d), and the whole procedure was uneventful. Similar cases have also been reported by Balsarkar DJ [1], where the catheter passed spontaneously. Routine external fixation should be done to prevent such accidents. Thus, unpredictable procedural complications can happen even with routine interventions, and continuous monitoring is of paramount importance.
Enteral feeding; Colonoscopy
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Written informed consent in was taken to publish the patient data and photographs in an anonymous format.
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[1] Balsarkar DJ. (2009). Intracolonic migration of Foley’s catheter. Indian J Gastroenterol 28(4): 146-146.
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